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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> Date Received' ¢j Li - pr7 — / tt ? 0 - <br /> Phone Contact for Permitting IS g 2 Lv ls/ / / <br /> J <br /> Owner's Name � c ) ' 2-V�4A/ Owner Phone Number S/3 - VS L+ 2-0 Owner's Address �� r ✓F,-, l yAi t/V , Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5,6 Ili e 1 <br /> r LOT # <br /> SUBDIVISION PARCEL 1D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 I BLOCK 1 /� FRAME 1 1 STEEL 1! 1 OTHER 1 I <br /> DESCRIPTION OF WORK k f G I -gVi4( (.. / i/I A'J* . e.) 0/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.0 <br /> 1 1 PLUMBING $ <br /> 1 <br /> la, /� MECHANICAL $ �± 600 * VALUATION OF MECHANICAL INSTALLATION <br /> `� I CJ <br /> 1 GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 !YES 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 1 FEE CURRENT I Y 1 N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # r <br /> MECHANI COMPANY 41/- 7 ,4 r 7/1/C <br /> SIGNATU REGISTERED 1 Y / N 1 FEE CURRENT q 1 Y/ N 1 <br /> Address 3 S / LI ? /b Ave z � P ti y e A , / 4 , f 7 � 3 6 - � Z License # CA-61V J f ' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1, FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> * ** *PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. 1 <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (NC upgrades over $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />